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Utah rates for HCPCS 35686

Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure)

Facilitymedian $4,169 · 10th–90th $263–$6,0260%20%10th90th$4,169Professionalmedian $251 · 10th–90th $155–$4680%10%20%10th90th$251$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $181.97 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $245.47 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $120.23 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $371.54 / $812.83
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $371.54 / $512.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $204.17 / $338.84